Organization
BROWN AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONI DOUGLAS (VICE PRESIDENT)
(859) 235-0622
Entity
Organization
Contact information
Practice address
101 ROGERS PARK, SUITE 1, CYNTHIANA, KY 41031-1242
(859) 234-1515
(859) 234-1566
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014500
CHA
KY
01
—
000000074795
ANTHEM
KY
01
—
1083653
PASSPORT
KY
01
—
163165900
FEDERAL BLACK LUNG
—
01
—
243562100
PASSPORT ADVANTAGE
KY
05
—
55049019
—
KY
05
—
56003577
—
KY
01
—
590015159
RAILROAD MEDICARE
KY
01
—
97349
COVENTRY - MEDICAID MCO
—
Enumeration date
07/13/2005
Last updated
02/23/2018
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